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General NPI Number Information
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NPI Number | 1861706939
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Entity Type | Individual
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Provider Name | KARISHMA KAPAL MEHRA MD
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Gender | Female
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Dates
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Enumeration Date | 08/01/2010
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 114 WOODLAND ST
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City | HARTFORD
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State | CT
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Zip | 06105-1208
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Country | US
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Telephone | 407-416-0698
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Fax |
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Provider Business Mailing Address
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Address Line | 114 WOODLAND ST
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City | HARTFORD
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State | CT
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Zip | 06105-1208
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Country | US
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Telephone | 407-416-0698
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 55737
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License Number State | CT
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